High Desert Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Hernandez met with House Manager Maria Delia Alpez. The capacity is (12) current census is (11). The facility is a nine (9) bedroom, nine (9) bathroom home with a kitchen/dining area, living room and attached garage. The facility is Residential Care Facility for the Elderly (RCFE). LPA Hernandez was accompanied by House Manager Maria Delia Alpez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees. LPA Hernandez inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting. LPA observed water to be of white color in (2) residents restrooms. LPA observed in Resident #8 (R8) to not have any hot water as hot water faucet on bathroom sink does not turn on. Deficiency will be issued. LPA Hernandez observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine cabinet with the resident’s medications locked. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Hernandez reviewed eight (8) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed no updated physician report for Resident #8 (R8). Deficiency will be issued. LPA observed no reappraisals for Resident #1 (R1), Resident #2 (R2), Resident #4 (R4), Resident #7 (R7) and Resident #8 (R8). LPA observed no needs and services plan for R1 or R8. Deficiency will be issued. Additionally, LPA observed for Resident #6 (R6) a full bed rail with no doctor order or on hospice care. Deficiency will be issued. LPA discovered the facility is providing care for three (3) bedridden residents which are not approved per the facility's license. Deficiency issued with civil penalty. LPA observed Resident #1 (R1) does not have a restricted health care plan. Deficiency will be issued. LPA observed five (5) residents medications. LPA observed for all (5) residents medication to not be documented properly on Medication Administration Record (MAR). Deficiency will be issued. LPA observed missing medications that are documented on MAR but not on resident's centrally stored medication log. Deficiency will be issued. LPA observed for Resident #5 medication to be removed from original container and put into a different container. Deficiency will be issued. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) and (LIC421IM) was discussed and provided to House Manager Maria Delia Alpez.the state’s words, verbatim · CDSS document, Oct 26, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Teresa Yip, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (12), a current census of (10). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has a swimming pool that is gated and locked inaccessible to residents in care. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities The facility is equipped with operating smoke detectors/carbon monoxide alarms, laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) bathrooms measured between 107 to 109 degrees F. Five (5) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, menu, facility sketch, emergency telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff #1 had an expired CPR certificate, citation will be issued. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Record Review: Four (4) Staff files reviewed were observed to be incomplete, staff #2 was not reassociated to guardian; citation will be issued. Three (3) Resident files reviewed were observed to be complete. Based on observations and record review deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D, and appeal rights was discussed and provided to Administrator Teresa Yip.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Caitlin Belisle, Direct Support Provider and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (12) with a current census of (8). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. Facility pool is fenced and observed locked, inaccessible to residents in care. Facility has sufficient indoor and outdoor shaded space for resident activities. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 107 to 118 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility a fully charged fire extinguisher and several carbon monoxide alarms. Fireplace is adequately screened. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Soaps and other cleaning solutions were stored away from food areas. Care & Supervision: Facility has 24-hour care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: (3) staff files reviewed were observed to be complete. (3) resident files reviewed were observed to be complete. Administrator’s certification expires on 8/8/2024. Facility had no documentation of last emergency drill conducted on file. Deficiency cited. Medical Related Services: All medication is centrally stored and locked in a cabinet located in the dining area. A deficiency is being cited during today's visit. An exit interview was conducted where reports LIC809 & LIC809D were discussed. Copies with appeal rights were provided to the Direct Support Provider.the state’s words, verbatim · CDSS document, Nov 8, 2023